Individual
CATHERINE L VANEYCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC, CDVP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2002 073
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
13338
IL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
149.013391
IL
Other
Enumeration date
06/12/2009
Last updated
10/18/2011
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